ICD-10 Coding for Excision of Adnexal Cyst(N83.291, N83.292)
Complete ICD-10-CM coding and documentation guide for Excision of Adnexal Cyst. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Excision of Adnexal Cyst
N83.291-N83.299Primary Range
Benign ovarian cysts
These codes cover benign cysts of the ovary, which are the primary focus for excision procedures.
Malignant neoplasms of ovary and other uterine adnexa
These codes are used when malignancy is suspected or confirmed during the excision procedure.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| N83.291 | Other ovarian cyst, right side | Use when a benign cyst is confirmed on the right ovary requiring excision. |
|
| N83.292 | Other ovarian cyst, left side | Use when a benign cyst is confirmed on the left ovary requiring excision. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for excision of adnexal cyst
Essential facts and insights about Excision of Adnexal Cyst
Primary ICD-10-CM Codes for procedure excision adnexal cyst
Decision Criteria
clinical Criteria
- Cyst confirmed on right ovary via imaging
documentation Criteria
- Surgical report must specify right ovary
Applicable To
- Right ovarian cyst
Excludes
- Malignant neoplasm of ovary (C56.x)
Clinical Validation Requirements
- Ultrasound showing a cyst on the right ovary
- Persistent symptoms or cyst size warranting surgical intervention
Code-Specific Risks
- Incorrect laterality documentation
Coding Notes
- Ensure laterality is documented clearly to avoid coding errors.
N83.292 - Other ovarian cyst, left side
Use when a benign cyst is confirmed on the left ovary requiring excision.
Applicable To
- Left ovarian cyst
Excludes
- Malignant neoplasm of ovary (C56.x)
Clinical Validation Requirements
- Ultrasound showing a cyst on the left ovary
- Persistent symptoms or cyst size warranting surgical intervention
Coding Notes
Ensure laterality is documented clearly to avoid coding errors.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Transvaginal ultrasound
76830Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Excision of Adnexal Cyst to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code N83.291.
Impact
Clinical: May affect treatment decisions., Regulatory: Non-compliance with documentation standards., Financial: Potential claim denials.
Mitigation Strategy
Include cyst size in all imaging reports, Verify documentation completeness before submission
Impact
Reimbursement: Incorrect coding can lead to claim denials., Compliance: Non-compliance with coding standards., Data Quality: Inaccurate patient records.
Mitigation Strategy
Verify imaging and surgical reports for correct laterality before coding.
Impact
Failure to document laterality can lead to audit issues.
Mitigation Strategy
Implement a checklist to verify laterality in all relevant documents.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Excision of Adnexal Cyst, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Excision of Adnexal Cyst
Use these documentation templates to ensure complete and accurate documentation for Excision of Adnexal Cyst. These templates include all required elements for proper coding and billing.
Laparoscopic excision of ovarian cyst
Specialty: GynecologyRequired Elements
- Pre-operative imaging findings
- Surgical approach and findings
- Pathology results
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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